complaint·June 18, 2024

Records review dated May 28, 2024 revealed online communication with a glass repair company regarding the replacement of R1's window. An invoice dated May 31, 2024 revealed the window was scheduled to be repaired on June 5, 2024. LPA direct observation on June 18, 2024 revealed R1's window was repaired and there were no unresolved maintenance issues in R1's room. During LPA's visit to the facility on May 30, 2024, LPA visited three (random) resident rooms and inspected the sinks, toilets and bathtubs. LPA did not encounter any clogged sinks, bathtubs or broken toilets. LPA found all of the sinks, tubs and toilets to be functioning as normal. Interview with Executive Director (ED) revealed R1 threw something at R1's bedroom window causing it to "spider" but not completely shatter on approximately May 26, 2024. ED stated that she has been in contact with several glass repair companies. ED stated that the facility had been without a maintenance worker for approximately one month. ED stated that during that time period they received maintenance staff assistance from their "sister facility" and from "corporate." ED stated that they currently have a maintenance applicant that has been hired and passed the background check. ED further stated that this new maintenance worker will start after he has gone through the on-boarding process. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Rebecca Toves. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Rebecca Toves whose signature below verifies receipt of these rights.